How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $4,365.16 Median $7,244.36 Typical High $17,378.01 | Facility | None | $4,365.16 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,513.56 | Professional | None | $851.14 | $851.14 | $1,513.56 |
BCBS Nebraska Setting Facility Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $4,168.69 | Facility | None | $1,548.82 | $2,041.74 | $4,168.69 |
BCBS Nebraska Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $794.33 | Professional | None | $691.83 | $741.31 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $758.58 Typical High $1,174.90 | Facility | None | $588.84 | $758.58 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,905.46 Typical High $2,137.96 | Professional | None | $1,737.80 | $1,905.46 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $912.01 Typical High $7,762.47 | Facility | None | $489.78 | $912.01 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $1,995.26 Typical High $6,760.83 | Professional | None | $1,071.52 | $1,995.26 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $2,691.53 | Professional | None | $1,778.28 | $2,041.74 | $2,691.53 |
Midlands Setting Facility Modifier None Typical Low $602.56 Median $794.33 Typical High $1,174.90 | Facility | None | $602.56 | $794.33 | $1,174.90 |
Midlands Setting Professional Modifier None Typical Low $1,513.56 Median $2,187.76 Typical High $2,951.21 | Professional | None | $1,513.56 | $2,187.76 | $2,951.21 |
United Setting Facility Modifier None Typical Low $467.74 Median $851.14 Typical High $2,754.23 | Facility | None | $467.74 | $851.14 | $2,754.23 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $2,187.76 | Professional | None | $1,071.52 | $1,737.80 | $2,187.76 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $416.87 Typical High $758.58 | Professional | 52 · Reduced service | $416.87 | $416.87 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $302.00 | Professional | 53 · Discontinued | $169.82 | $169.82 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $1,122.02 | Professional | 54 · Surgery only | $630.96 | $630.96 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $223.87 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $151.36 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $588.84 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $588.84 | $588.84 | $1,047.13 |
Where Nebraska sits
The same service costs 22.4 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Nebraska· 9th of 51
$1,738
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.